The Adult Social Care and Health Overview and Scrutiny Committee of Warwickshire Council was scheduled to discuss the Quarter 3 Integrated Performance Report for 2025/26, the draft Warwickshire Health and Wellbeing Strategy for 2026-31, and the provision of Older Adults Hospital at Home services. The committee was also set to review its work programme and consider questions for the Portfolio Holder and NHS members.

Quarter 3 Integrated Performance Report 2025/26

The committee was scheduled to review the Quarter 3 Integrated Performance Report for 2025/26, which provides a retrospective summary of organisational performance against the Council Plan 2022-2027. The report details progress on Council Delivery Plan (CDP) deliverables relevant to the committee's remit, with 80% of activity reported as delivering to plan, 10% as challenging, and 10% with no report for the quarter. The Performance Management Framework (PMF) includes 88 Key Business Measures (KBMs), of which 12 are attributable to the Adult Social Care and Health OSC. Of these, 58.3% (7) were reported as delivering, a decrease from 66.7% in Quarter 2. Services reporting to the committee were forecasting a cumulative net service overspend of £6.703m, with savings targets forecast to be underachieved by £4.455m. The strategic risk profile remained static, with three strategic risks reported as red, including the sustained demand for services and current market forces putting financial pressure on Adult Social Care services. The report also highlighted updates on the planned reporting for the Value for Money (VFM) Programme, including Digital Transformation, from Quarter 3 onwards.

Draft Warwickshire Health and Wellbeing Strategy 2026-31

The committee was invited to review and comment on the final draft of the Warwickshire Health and Wellbeing Strategy 2026-31. This strategy outlines how partners will work together to improve population health, prevent ill-health, and reduce health inequalities. The strategy is driven by three countywide priorities: creating the conditions to support good mental health and wellbeing, tackling the factors that cause poverty and lead to inequalities, and supporting people to move more and eat well. The development process involved engagement with Place-based Health and Wellbeing Partnerships, stakeholders, and the public, with a survey receiving 282 responses. The strategy adopts a life course approach and is grounded in evidence from Joint Strategic Needs Assessments (JSNAs) and the Director of Public Health's Annual Report 2024.

Older Adults Hospital at Home Provision

A report was scheduled to be presented regarding the Older Adults Hospital at Home provision, aiming to assure members of progress and endorse the approach to improving equity of access and enhanced service provision. The report detailed the current state of older adult mental health provision in Warwickshire, highlighting issues with standalone units and the co-location of services. It outlined the Trust's commitment to shifting care from hospital to community settings, in line with national policy and NHS England's Mental Health, Learning Disabilities and Autism Inpatient Quality Transformation Programme. The development of a new Hospital at Home model of care for older people was discussed, with evidence from local pilots indicating benefits such as safe home support, better family involvement, faster recovery, and crisis avoidance. The anticipated future state involves consolidating inpatient beds and moving functional mental illness provision for female older adults to Ferndale Ward, while maintaining specialist care at Manor Court Hospital. The Trust commits to continuously monitoring the impact of Hospital at Home services before closing inpatient beds.

Questions to the Portfolio Holder and NHS

The committee was scheduled to allocate up to 30 minutes for members to ask questions to Councillor Anne-Marie Sonko, Portfolio Holder for Adult Social Care and Health, on matters relevant to the committee's remit. Additionally, members were invited to give notice of questions to NHS commissioners and service providers, with a list of questions and issues raised to be provided to members.

Work Programme and Future Meeting Dates

The committee was set to review its Work Programme and note the arrangements for future meetings. The National Oversight Framework (NOF) was to be added to the agenda for the meeting on 25 February 2026, following the publication of updated scores by NHS England. The committee also proposed to monitor the progress of recommendations from the Menopause Services Task and Finish review, and to consider a focus group for men regarding menopause support. Other proposed additions to the Work Programme included a review of the Carer's Offer, more detailed attention to Dementia Diagnosis and Support, and consideration of Artificial Intelligence (AI) in Adult Social Care and Health systems. A joint meeting with the Children and Young People Overview and Scrutiny Committee to review the Council's response to the COVID-19 Pandemic was also agreed.